Registered Nurse, Site Leader (RCH) Casual

City New Westminster
Job ID 2023-38065
Nursing - (RN / RPN) - Leadership / Education
Employment Type
Scheduled Start & Stop Times
0700-1915, 0700-1900, 1900-0715
Days Off
Clinical Operations
Salary at Time of Posting
$50.86 - $68.21 / hour

Salary range

The salary range for this position is CAD $50.86 - $68.21 / hour

Why Fraser Health?


Fraser Health is responsible for the delivery of hospital and community-based health services from Burnaby to Fraser Canyon on the traditional, ancestral and unceded territories of the Coast Salish and Nlaka’pamux Nations, and is home to six Métis Chartered Communities.

Our team of 43,000 staff, medical staff and volunteers is dedicated to serving our patients, families and communities to deliver on our vision: Better health, best in health care.
Learn more.


Come work with us!
Fraser Health is proudly recognized as a
BC Top Employer. Joining our team offers you opportunities to work in a rapidly growing organization with health professionals who are excellent in their respective fields, career growth and advancement, a competitive compensation package (including four weeks of vacation to start, comprehensive health benefits, and pension plan), and the rewarding opportunity to make a difference every single day in health care.


Effective October 26, 2021 all staff for all positions across health care in British Columbia are required to be fully vaccinated against COVID-19 (have received a full series of a World Health Organization “WHO” approved vaccine against infection by SARS-COV-2, or a combination of approved WHO vaccines). Please note this applies to all postings, and there are no exceptions.


Fraser Health values diversity in the work force and strives to maintain an environment of Respect, Caring and Trust. Fraser Health’s hiring practices aspire to ensure all individuals are treated in an inclusive, equitable, and culturally safe manner.


Connect with us!
Connect with us on our Careers social channels where you’ll learn about exciting opportunities, get career tips from our recruiters, and meet some of your future team members! You can also visit us on
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Detailed Overview

The Site Leader is responsible for overseeing and coordinating the delivery of direct patient/resident care at the Regional Hospitals after hours, on weekends and/or as assigned including the overall responsibility for the supervision of staff and the effectiveness of care provided on the units.

Provides leadership and direction to Patient Care Coordinators and/or Charge Nurses; makes critical decisions and solves complex problems which impact patient/resident care and safety; assesses the efficiency and effectiveness of patient/resident service interfaces between clinical units/departments; coordinates hospital operations in accordance with established policies & standards of quality and patient care.

Facilitates alignment/realignment of staffing resources; provides timely and autonomous decisions regarding bed utilization and appropriate patient/resident placement (access); ensures patient/resident safety protocols are followed and staffing issues are addressed in accordance with collective agreements /administrative policies.

Develops and maintains effective working relationships with on-site medical and clinical healthcare providers, management and administrative personnel; addresses and facilitates resolution of customer service/client relations issues.


  1. Oversees and coordinates delivery of direct patient/resident care at the Regional Hospitals after hours, on weekends and/or as assigned.
  2. Directs Patient Care Coordinators (PCCs) and/or Charge Nurses and coordinates appropriate patient/resident placement and/or discharge needs. Assesses the efficiency and effectiveness of patient/resident placement, patient flow and bed utilization and recommends areas for improvement.
  3. Liaises with the Access Coordinator and BC Bedline to facilitate patient/resident transfers. Collaborates in the identification and resolution of patient/resident care issues, ethical questions/issues and the coordination and integration of care.
  4. Assesses critical situations and makes decisions on course of action, including bed utilization and authorization of bed openings. Liaises with Administrator on Call (AOC) as required.
  5. Ensures that appropriate resources are available, including staffing, to provide safe care. Assesses workload/staffing needs, allocates staff and authorizes the use of overtime.
  6. Liaises and collaborates with Staffing Office to ensure optimal staffing levels are maintained and the use of overtime is effectively monitored.
  7. Interviews, selects and supervises staff, delegates work and provides input to Managers for performance appraisals. Provides support to preceptors and preceptees, monitors and evaluates the progress of new staff through consultation with the preceptor and communicates staff performance information to the Manager.
  8. Investigates and resolves staff issues in accordance with collective agreement provisions and hospital policies; refers contentious and disciplinary staff issues to the Manager.
  9. Attends to problem/conflict situations, customer service/client relations issues and facilitates successful resolution by meeting with patients/residents/families, initiating appropriate corrective action and recommending changes to existing policies and/or procedures.
  10. Ensures there is appropriate follow-up to the contingency staffing plan in clinical areas and communicates concerns/issues to the Manager(s), Clinical Operations.
  11. Accountable for the optimal use of patient/resident care resources; identifies opportunities for improved utilization of resources; provides input into the budget and makes recommendations regarding resources management. 
  12. Participates in the development, implementation and evaluation of policies, procedures, protocols  and standards related to patient care.
  13. Identifies quality improvement opportunities and promotes continuous quality improvement activities by utilizing and promoting nursing research to ensure patient care is based on best practices.
  14. Promotes and monitors safe work practices and enforcement of health & safety requirements. Ensures unsafe situations are reported; investigates and initiates corrective action.
  15. Implements safety, fire prevention and evacuation procedures as required. Investigates and completes accident and incident reports; communicates outcomes to the Manager and/or Director.  Participates in Emergency Preparedness activities; acts as incident commander as assigned.
  16. Collaborates with managers/educators to provide opportunities for continuous learning to ensure staff remain current with best practices in accordance with established standards. 
  17. Promotes research based practice by collaborating with others and promoting staff awareness and involvement in research activities, identifies practices/issues that require research and facilitates the development of ongoing research.
  18. Participates on designated local and regional program and professional committees as assigned.
  19. Performs other related duties as assigned.



Education and Experience

Bachelor's Degree in Nursing from an approved School of Nursing.

Five (5) years' recent, relevant, acute care experience, including a minimum of two (2) years' experience in a supervisory and/or administrative capacity or an equivalent combination of education, training and experience.

Current practicing registration as a Registered Nurse with the British Columbia College of Nurses and Midwives (BCCNM).

Skills and Abilities

  • Comprehensive knowledge of nursing theory and evidence-based practice.
  • Comprehensive knowledge of health care disciplines and their role within health care.
  • Demonstrated ability to plan, organize and prioritize work in a continuously changing environment.
  • Demonstrated ability to supervise, lead and provide work direction.
  • Demonstrated ability to teach and facilitate learning of staff and/or patients/families.
  • Demonstrated ability to role model.
  • Demonstrated ability to communicate effectively, both verbally and in writing.
  • Demonstrated ability to apply critical thinking skills, problem solve and deal with conflict situations.
  • Demonstrated ability to deal effectively with patients, families, the public, medical staff and members of interdisciplinary teams.
  • Ability to operate related equipment including proven ability to utilize computer technology.
  • Physical ability to carry out the duties of the position.


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